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Mental health needs in a large urban school district: Findings from a web-based survey

dc.contributor.authorKoschmann, Elizabeth
dc.contributor.authorJacob, Robin
dc.contributor.authorRobinson, Katja
dc.contributor.authorFoster Friedman, Megan
dc.contributor.authorFoster, Anna
dc.contributor.authorRodriguez-Quintana, Natalie
dc.contributor.authorVichich, Jennifer
dc.contributor.authorSmith, Maureen
dc.contributor.authorRajaram, Hersheena
dc.date.accessioned2022-08-02T18:57:25Z
dc.date.available2023-09-02 14:57:24en
dc.date.available2022-08-02T18:57:25Z
dc.date.issued2022-08
dc.identifier.citationKoschmann, Elizabeth; Jacob, Robin; Robinson, Katja; Foster Friedman, Megan; Foster, Anna; Rodriguez-Quintana, Natalie ; Vichich, Jennifer; Smith, Maureen; Rajaram, Hersheena (2022). "Mental health needs in a large urban school district: Findings from a web- based survey." Health Services Research 57(4): 830-841.
dc.identifier.issn0017-9124
dc.identifier.issn1475-6773
dc.identifier.urihttps://hdl.handle.net/2027.42/173108
dc.description.abstractObjectiveTo explore the mental health needs of students, and the professional development and support needs of teachers and school health professionals, as a way to foster community engagement and help set priorities for a comprehensive school mental health system in the Detroit Public Schools Community District (DPSCD).SettingThe study team surveyed all DPSCD staff in June 2019 and all students in grades 8–12 between October and December 2019.Study DesignA descriptive study based on anonymous, web-based surveys focused on student trauma exposure and mental health symptoms, student mental health resource utilization, staff burnout, and professional development needs.Data CollectionAll students (grades 8–12) and district staff were eligible to participate; the student survey was made available in six languages. Parents/guardians could opt children out; schools could exclude children unable to complete the survey independently. Student surveys were administered in school; staff surveys were sent via email.Principal FindingsThirty-four percent of DPSCD students reported moderate/severe depression symptoms; 22% had seriously considered suicide in the past year. Rates exceed national averages; 37% of students with severe depression and 34% of those with suicidal ideation had not accessed mental health supports. Staff indicated high levels of burnout and substantial interest in learning about self-care strategies or coping with vicarious trauma. Over 75% of teachers and school mental health professionals expressed interest in learning about best practices for supporting students impacted by trauma or mental illness.ConclusionsA large number of DPSCD students are experiencing symptoms of depression and anxiety, and many students who need care are not accessing it. Addressing the mental health needs of students is a high priority for staff, but they need more training and support, as well as support for their own vicarious trauma and high levels of burnout.
dc.publisherWiley Periodicals, Inc.
dc.publisherBlackwell Publishing Ltd
dc.subject.otheradolescent health
dc.subject.othercommunity health planning
dc.subject.othercommunity mental health services
dc.subject.otherneeds assessment
dc.subject.otherschool mental health services
dc.subject.othersurveys and questionnaires
dc.titleMental health needs in a large urban school district: Findings from a web-based survey
dc.typeArticle
dc.rights.robotsIndexNoFollow
dc.subject.hlbsecondlevelPublic Health
dc.subject.hlbtoplevelHealth Sciences
dc.description.peerreviewedPeer Reviewed
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/173108/1/hesr13924_am.pdf
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/173108/2/hesr13924.pdf
dc.identifier.doi10.1111/1475-6773.13924
dc.identifier.sourceHealth Services Research
dc.identifier.citedreferenceSpitzer RL, Kroenke K, Williams JBW, Löwe B. A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med. 2006; 166 ( 1 ): 1092 - 1097.
dc.identifier.citedreferenceSwick D, Powers JD. Increasing access to care by delivering mental health services in schools: the school-based support program. Sch Community J. 2018; 28 ( 1 ): 129 - 144.
dc.identifier.citedreferenceChiu AW, Langer DA, McLeod BD, et al. Effectiveness of modular CBT for child anxiety in elementary schools. Sch Psychol Q. 2013; 28 ( 2 ): 141 - 153.
dc.identifier.citedreferenceAtkins MS, Hoagwood KE, Kutash K, Seidman E. Toward the integration of education and mental health in schools. Adm Policy Ment Health. 2010; 37: 40 - 47.
dc.identifier.citedreferenceBall A, Iachini AL, Bohnenkamp JH, et al. School mental health content in state in-service K-12 teaching standards in the United States. Teach Teach Educ. 2016; 60: 312 - 320.
dc.identifier.citedreferenceXue Y, Leventhal T, Brooks-Gunn J, Earls FJ. Neighborhood residence and mental health problems of 5- to 11-year-olds. Arch Gen Psychiatry. 2005 May; 62 ( 5 ): 554 - 563.
dc.identifier.citedreferenceMoon J, Williford A, Mendenhall A. Educators perceptions of youth mental health: implications for training and the promotion of mental health services in schools. Child Youth Serv Rev. 2017; 73: 384 - 391.
dc.identifier.citedreferencePhillippo KL, Kelly MS. On the fault line: a qualitative exploration of high school teachers’ involvement with student mental health issues. School Mental Health. 2014; 6: 184 - 200.
dc.identifier.citedreferenceReinke WM, Stormont M, Herman KC, Puri R, Goel N. Supporting childrens’ mental health in schools: teacher perceptions of needs, roles, and barriers. Sch Psychol Q. 2011; 26 ( 1 ): 1 - 13.
dc.identifier.citedreferenceNandakumar AL, Vande Voort JL, Nakonezny PA, et al. Psychometric properties of the Patient Health Questionnaire-9 modified for major depressive disorder in adolescents. J Child Adolesc Psychopharmacol. 2019; 29 ( 1 ): 34 - 40.
dc.identifier.citedreferencePlummer F, Manea L, Trepel D, McMillan D. Screening for anxiety disorders with the GAD-7 and GAD-2: a systematic review and diagnostic metaanalysis. Gen Hosp Psychiatry. 2016; 39: 24 - 31. doi: 10.1016/j.genhosppsych.2015.11.005
dc.identifier.citedreferenceTiirikainen K, Haravuori H, Ranta K, Kaltiala-Heino R, Marttunen M. Psychometric properties of the 7-item Generalized Anxiety Disorder Scale (GAD-7) in a large representative sample of Finnish adolescents. Psychiatry Res. 2019; 272: 30 - 35.
dc.identifier.citedreferenceUnderwood JM, Brener N, Thornton J, et al. Overview and methods for the youth risk behavior surveillance system - United States, 2019. MMWR Suppl. 2020; 69 ( Suppl-1 ): 1 - 10.
dc.identifier.citedreferenceHalbesleben JRB, Demerouti E. The construct validity of an alternative measure of burnout: investigating the English translation of the Oldenburg Burnout Inventory. Work Stress. 2005; 19 ( 3 ): 208 - 220.
dc.identifier.citedreferenceDemerouti E, Bakker AB, Vardakou I, Kantas A. The convergent validity of two burnout instruments: a multitrait-multimethod analysis. Eur J Psychol Assess. 2003; 19 ( 1 ): 12 - 23.
dc.identifier.citedreferenceDemerouti E, Bakker AB. The Oldenburg Burnout Inventory: a good alternative to measure burnout (and engagement). Handbook of Stress and Burnout in Health Care. Vol 65; Nova Science Publishing; 2008: 78.
dc.identifier.citedreferenceHalbesleben JRB. A meta-analysis of work engagement: relationships with burnout, demands, resources, and consequences, Work Engagement: A Handbook of Essential Theory and Research. Vol 8 (1); Psychology Press; 2010: 102 - 117.
dc.identifier.citedreferenceSonnentag S, Binnewies C, Mojza EJ. Staying well and engaged when demands are high: the role of psychological detachment. J Appl Psychol. 2010; 95 ( 5 ): 965 - 976.
dc.identifier.citedreferenceTimms C, Brough P, Graham D. Burnt-out but engaged: the co-existence of psychological burnout and engagement. J Educ Adm. 2012; 50 ( 3 ): 327 - 345.
dc.identifier.citedreferenceNational Center for Homeless Education. McKinney-Vento definition of homeless. Accessed July 15, 2021. https://nche.ed.gov/mckinney-vento-definition
dc.identifier.citedreferenceMichigan Center for Educational Performance and Information. DPSCD Student Count Snapshot; Staffing Count Snapshot (2019-2020); MI School Data. 2020. Accessed July 15, 2021. https://www.mischooldata.org. 2020
dc.identifier.citedreferenceTRAILS. School Mental Health in Detroit Public School Community District. 2020. Accessed July 15, 2021. https://storage.trailstowellness.org/School_Mental_Health_in_DPSCD.pdf
dc.identifier.citedreferencePeterson U, Demerouti E, Bergström G, Samuelsson M, Åsberg M, Nygren Å. Burnout and physical and mental health among Swedish healthcare workers. J Adv Nurs. 2008; 62 ( 1 ): 84 - 95.
dc.identifier.citedreferenceRodriguez-Quintana N, Meyer AE, Bilek E, et al. Development of a brief group CBT intervention to reduce COVID-19 related distress among school-age youth. Cogn Behav Pract. 2021; 28: 642 - 652.
dc.identifier.citedreferenceChild and Adolescent Health Measurement Initiative. 2017. Accessed July 15, 2021. https://www.cahmi.org/
dc.identifier.citedreferenceIvey-Stephenson AZ, Demissie Z, Crosby AE, et al. Suicidal ideation and behaviors among high school students—Youth Risk Behavior Survey, United States, 2019. MMWR Suppl. 2020; 69 ( 1 ): 47 - 55.
dc.identifier.citedreferenceLindsey MA, Sheftall AH, Xiao Y, Joe S. Trends of suicidal behaviors among high school students in the United States: 1991–2017. Pediatrics. 2019; 144 ( 5 ): e20191187.
dc.identifier.citedreferenceCenter for Disease Control and Prevention. High School YRBS. 2019. Accessed October 14, 2021. https://nccd.cdc.gov/youthonline/App/Results.aspx?TT=C&OUT=0&SID=HS&QID=H26&LID=XX&YID=2019&LID2=&YID2=&COL=R&ROW1=N&ROW2=N&HT=QQ&LCT=LL&FS=S8&FR=R1&FG=G1&FA=A1&FI=I1&FP=P1&FSL=S1&FRL=R1&FGL=G1&FAL=A1&FIL=I1&FPL=P1&PV=&TST=False&C1=&C2=&QP=G&DP=1&VA=CI&CS=Y&SYID=&EYID=&SC=DEFAULT&SO=ASC
dc.identifier.citedreferenceOnnela A, Hurtig T, Ebeling H. School professionals committed to student well-being. Int J Circumpolar Health. 2021; 80: 1873589.
dc.identifier.citedreferenceSevelius JM, Gutierrez-Mock L, Zamudio-Haas S, et al. Research with marginalized communities: challenges to continuity during the COVID-19 pandemic. AIDS Behav. 2020; 24: 2009 - 2012.
dc.identifier.citedreferenceScharff DP, Mathews KJ, Jackson P, Hoffsuemmer J, Martin E, Edwards D. More than Tuskegee: understanding mistrust about research participation. J Health Care Poor Underserved. 2010; 21 ( 3 ): 879 - 897.
dc.identifier.citedreferenceMerikangas KR, He JP, Burstein M, et al. Lifetime prevalence of mental disorders in U.S. adolescents: results from the National Comorbidity Survey Replication--Adolescent Supplement (NCS-A). J Am Acad Child Adolesc Psychiatry. 2010; 49 ( 10 ): 980 - 989.
dc.identifier.citedreferenceAsarnow JR, Haycox LH, Duan N, et al. Depression and role impairment among adolescents in primary care clinics. J Adolesc Health. 2005; 37 ( 6 ): 477 - 483.
dc.identifier.citedreferenceCharvat JL. Research on the Relationship between Mental Health and Academic Achievement. National Association of School Pscyhologists; 2012.
dc.identifier.citedreferenceJaycox LH, Langley AK, Stein BD, et al. Support for students exposed to trauma: a pilot study. School Ment Health. 2009; 1 ( 2 ): 49 - 60.
dc.identifier.citedreferenceMychailyszyn MP, Beidas RS, Benjamin CL, et al. Assessing and treating child anxiety in schools. Psychol Sch. 2011; 48: 223 - 232.
dc.identifier.citedreferencePatel V, Weobong B, Weiss HA, et al. The Healthy Activity Program (HAP), a lay counsellor-delivered psychological treatment for severe depression, in primary care in India: a randomized controlled trial. Lancet. 2016; 389 ( 10065 ): 176 - 185.
dc.identifier.citedreferenceKessler RC, Foster CL, Saunders WB, Stang PE. Social consequences of psychiatric disorders, I: educational attainment. Am J Psychiatry. 1995; 152 ( 7 ): 1026 - 1032.
dc.identifier.citedreferenceKessler RC, Berglund PA, Foster CL, Saunders WB, Stang PE, Walters EE. Social consequences of psychiatric disorders, II: teenage parenthood. Am J Psychiatry. 1997; 154 ( 10 ): 1405 - 1411.
dc.identifier.citedreferenceKessler RC, Walters EE, Forthofer MS. The social consequences of psychiatric disorders, III: probability of marital stability. Am J Psychiatry. 1998; 155 ( 8 ): 1092 - 1096.
dc.identifier.citedreferenceWang PS, Aguilar-Gaxiola S, Alonso J, et al. Use of mental health services for anxiety, mood, and substance disorders in 17 countries in the WHO world mental health surveys. Lancet. 2007; 370 ( 9590 ): 841 - 850.
dc.identifier.citedreferenceCenter for Disease Control. 10 leading causes of death by age group, United States. 2018. Accessed July 15, 2021. https://www.cdc.gov/injury/wisqars/pdf/leading_causes_of_death_by_age_group_2018-508.pdf
dc.identifier.citedreferenceWhyte C. US suicide rate at its highest since the end of second world war. New Scientist. 2019. Accessed July 15, 2021. https://www.newscientist.com/article/2207007-us-suicide-rate-at-its-highest-since-the-end-of-the-second-world-war
dc.identifier.citedreferenceMental Health America. The State of Mental Health in America. 2021. Accessed July 15, 2021. https://mhanational.org/issues/state-mental-health-america
dc.identifier.citedreferenceFelitti VJ, Anda RF, Nordenberg D, et al. Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults. The Adverse Childhood Experiences (ACE) Study. Am J Prev Med. 1998; 14 ( 4 ): 245 - 258.
dc.identifier.citedreferenceDupéré V, Leventhal T, Lacourse É. Neighborhood poverty and suicidal thoughts and attempts in late adolescence. Psychol Med. 2009; 39 ( 8 ): 1295 - 1306.
dc.identifier.citedreferenceTobler AL, Maldonado-Molina MM, Staras SAS, O’Mara RJ, Livingston MD, Komro KA. Perceived racial/ethnic discrimination, problem behaviors, and mental health among minority urban youth. Ethn Health. 2013; 18 ( 4 ): 337 - 349.
dc.identifier.citedreferenceHunt TKA, Slack KS, Berger LM. Adverse childhood experiences and behavioral problems in middle childhood. Child Abuse Negl. 2016; 67: 391 - 402.
dc.identifier.citedreferenceLanier Y, Sommers MS, Fletcher J, Sutton MY, Roberts DD. Examining racial discrimination frequency, racial discrimination stress, and psychological well-being among Black early adolescents. J Black Psychol. 2017; 43 ( 3 ): 219 - 229.
dc.identifier.citedreferenceOffice of the Surgeon General, Center for Mental Health Services, and the National Institute of Mental Health. Mental Health: Culture, Race and Ethnicity – A Supplement to Mental Health: A Report of the Surgeon General. Substance Abuse and Mental Health Services Administration. 2001. Accessed July 15, 2021. https://www.ncbi.nlm. nih.gov/books/NBK44243
dc.identifier.citedreferenceDetroit Health Department. 2018 Detroit Community Health Assessment 2019. Accessed July 2021. https://detroitmi.gov/sites/detroitmi.localhost/files/2019-07/June_18%20CHA_report.pdf
dc.identifier.citedreferenceNational Center for Homeless Education. Consolidated State Profile. Accessed June 17, 2020. http://profiles.nche. seiservices.com/ConsolidatedStateProfile.aspx
dc.identifier.citedreferenceOllendick TH, King NJ. Empirically supported treatments for children and adolescents: advances toward evidence-based practice. Handbook of Interventions that Work with Children and Adolescents: Prevention and Treatment; Wiley; 2004: 1 - 25.
dc.identifier.citedreferenceBeidas RS, Edmunds JM, Marcus SC, Kendall PC. Training and consultation to promote implementation of an empirically supported treatment: a randomized trial. Psychiatr Serv. 2012; 63 ( 7 ): 660 - 665.
dc.identifier.citedreferenceBeidas RS, Kendall PC. Training therapists in evidence-based practice: a critical review of studies from a systems-contextual perspective. Clin Psychol. 2010; 17 ( 1 ): 1 - 30.
dc.identifier.citedreferenceDeighton J, Humphrey N, Belsky J, Boehnke J, Vostanis P, Patalay P. Longitudinal pathways between mental health difficulties and academic performance during middle childhood and early adolescence. Br J Dev Psychol. 2018; 36 ( 1 ): 110 - 126.
dc.identifier.citedreferenceQuiroga CV, Janosz M, Bisset S, Morin AJS. Early adolescent depression symptoms and school dropout: mediating processes involving self-reported academic competence and achievement. J Educ Psychol. 2013; 105 ( 2 ): 552 - 560.
dc.identifier.citedreferenceWeidman J, Baker K. The cognitive science of learning: concepts and strategies for the educator and learner. Anesth Analg. 2015; 121 ( 6 ): 1586 - 1599.
dc.identifier.citedreferenceMerikangas KR, He JP, Burstein M, et al. Service utilization for lifetime mental disorders in U.S. adolescents: results of the National Comorbidity Survey-Adolescent Supplement (NCS-A). J Am Acad Child Adolesc Psychiatry. 2011 Jan; 50 ( 1 ): 32 - 45.
dc.identifier.citedreferenceGarland AF, Accurso EC, Haine-Schlagel R, Brookman-Frazee L, Roesch S, Zhang JJ. Searching for elements of evidence-based practices in children’s usual care and examining their impact. J Clin Child Adolesc Psychol. 2014; 43 ( 2 ): 201 - 215.
dc.identifier.citedreferenceMcHugh RK, Barlow DH, eds. Dissemination and Implementation of Evidence-Based Psychological Interventions. Oxford University Press; 2012.
dc.identifier.citedreferenceBrownson RC, Baker EA, Deshpande AD, Gillespie KN. Evidence-Based Public Health. Oxford University Press; 2017.
dc.identifier.citedreferenceProctor E, Luke D, Calhoun A, et al. Sustainability of evidence-based healthcare: research agenda, methodological advances, and infrastructure support. Implement Sci. 2015; 10 ( 1 ): 1 - 13.
dc.identifier.citedreferenceNovins DK, Green AE, Legha RK, Aarons GA. Dissemination and implementation of evidence-based practices for child and adolescent mental health: a systematic review. J Am Acad Child Adolesc Psychiatry. 2013; 52 ( 10 ): 1009 - 1025.
dc.identifier.citedreferenceCauce AM, Domenech-Rodríguez M, Paradise M, et al. Cultural and contextual influences in mental health help seeking: a focus on ethnic minority youth. J Consult Clin Psychol. 2002; 70 ( 1 ): 44 - 55.
dc.identifier.citedreferenceNuriddin A, Mooney G, White AIR. Reckoning with histories of medical racism and violence in the USA. Lancet. 2020; 366: 949 - 951.
dc.identifier.citedreferenceFarmer EM, Burns BJ, Phillips SD, Angold A, Costello EJ. Pathways into and through mental health services for children and adolescents. Psychiatr Serv. 2003; 54 ( 1 ): 60 - 66.
dc.identifier.citedreferenceBurns BJ, Costello EJ, Angold A, et al. Children’s mental health service use across service sectors. Health Aff (Millwood). 1995; 14 ( 3 ): 147 - 159.
dc.working.doiNOen
dc.owningcollnameInterdisciplinary and Peer-Reviewed


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